Monitoring of Delayed Cerebral Ischemia in Patients with Subarachnoid Hemorrhage via Near-Infrared Spectroscopy.
作者： Jeong Jin Park , Chulho Kim , Jin Pyeong Jeon
DOI: 10.3390/JCM9051595
关键词:
摘要: We investigated the role of near infrared spectroscopy (NIRS) in identifying delayed cerebral ischemia (DCI) patients with subarachnoid hemorrhage (SAH). measured regional oxygen saturation (rSO2) continuously for 14 days. The differences rSO2 according to DCI were analyzed. also compared diagnostic accuracy NIRS and transcranial Doppler ultrasonography (TCD) detection using area under receiver operator characteristic (ROC) curve. Fifty-two treated coil embolization enrolled, including 18 (34.6%) 34 without (65.4%). Significant levels observed from days 7 9. level was 60.95 (58.10–62.30) at day vs. 63.90 (62.50–67.10) non-DCI patients. By 8, it 59.50 (56.90–64.50) 63.30 (59.70–68.70) cases. 9, 61.85 (59.40–65.20) 66.00 (62.70–68.30) non-DCI. A decline >12.7% SO2 rate yielded a sensitivity 94.44% (95% CI: 72.7–99.9%) specificity 70.59% 52.5–84.9%) DCI. Changes tended yield better than TCD, but not statistically significant. is feasible method real-time
mdpi.com
scilit.net参考文章(26)
Ralf Dirk Rothoerl, R. Faltermeier, R. Burger, C. Woertgen, A. Brawanski, Dynamic correlation between tissue PO2 and near infrared spectroscopy. Acta Neurochirurgica. ,vol. 81, pp. 311- 313 ,(2002) , 10.1007/978-3-7091-6738-0_79
Eiji Okada, David T. Delpy, Near-infrared light propagation in an adult head model. I. Modeling of low-level scattering in the cerebrospinal fluid layer Applied Optics. ,vol. 42, pp. 2906- 2914 ,(2003) , 10.1364/AO.42.002906
G. Nollert, R. Jonas, B. Reichart, Optimizing cerebral oxygenation during cardiac surgery: a review of experimental and clinical investigations with near infrared spectrophotometry. Thoracic and Cardiovascular Surgeon. ,vol. 48, pp. 247- 253 ,(2000) , 10.1055/S-2000-6895
Patrick C. Drayna, Thomas J. Abramo, Cristina Estrada, Near-Infrared Spectroscopy in the Critical Setting Pediatric Emergency Care. ,vol. 27, pp. 432- 439 ,(2011) , 10.1097/PEC.0B013E3182188442
Yashail Y. Vora, Maria Suarez-Almazor, David E. Steinke, Michael L. Martin, J. Max Findlay, Role of transcranial Doppler monitoring in the diagnosis of cerebral vasospasm after subarachnoid hemorrhage Neurosurgery. ,vol. 44, pp. 1237- 1248 ,(1999) , 10.1097/00006123-199906000-00039
George M. Hoffman, Nancy S. Ghanayem, James S. Tweddell, Noninvasive assessment of cardiac output. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. ,vol. 8, pp. 12- 21 ,(2005) , 10.1053/J.PCSU.2005.01.005
J.S. Jeon, S.H. Sheen, G.J. Hwang, H.C. Kim, B.J. Kwon, Feasibility of intravenous flat panel detector CT angiography for intracranial arterial stenosis. American Journal of Neuroradiology. ,vol. 34, pp. 129- 134 ,(2013) , 10.3174/AJNR.A3301
Andrew M. Naidech, Bernard R. Bendok, Michael L. Ault, Thomas P. Bleck, Monitoring with the Somanetics INVOS 5100C after aneurysmal subarachnoid hemorrhage. Neurocritical Care. ,vol. 9, pp. 326- 331 ,(2008) , 10.1007/S12028-008-9077-8
T. W. L. Scheeren, P. Schober, L. A. Schwarte, Monitoring tissue oxygenation by near infrared spectroscopy (NIRS): background and current applications Journal of Clinical Monitoring and Computing. ,vol. 26, pp. 279- 287 ,(2012) , 10.1007/S10877-012-9348-Y
Tatsushi Mutoh, Shinya Kobayashi, Noriyuki Tamakawa, Tatsuya Ishikawa, Multichannel near-infrared spectroscopy as a tool for assisting intra-arterial fasudil therapy for diffuse vasospasm after subarachnoid hemorrhage Surgical Neurology International. ,vol. 2, pp. 68- 68 ,(2011) , 10.4103/2152-7806.81728